Managed Care Coordinator jobs in Jackson, MS

Managed Care Coordinator coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Being a Managed Care Coordinator communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports. Additionally, Managed Care Coordinator typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). The Managed Care Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. To be a Managed Care Coordinator typically requires 5-7 years of related experience. (Copyright 2024 Salary.com)

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RN Resident Care Coordinator / Bedford Care Center of Mendenhall
  • Bedford Care Centers
  • Mendenhall, MS FULL_TIME
  • Job description

    Position: RN - Resident Care Coordinator

    Location: Bedford Care Center of Mendenhall

    Equal Employment Opportunity Statement

    Bedford Care Center is an equal opportunity employer and does not discriminate against applicants or Employees for race, color, religion, age, sex, national origin, disability or any other reasons prohibited by Law.

    Job Summary:

    Supervises and coordinates care of assigned Residents, compliant with Company Policies, State, Federal Laws and Regulations; must exhibit sound judgment, have a sincere desire to work with elderly; must communicate courteously and respectfully with Residents, families, Employees and others

    Qualifications:

    RN Nursing License in good standing in State of Mississippi; must attain TB Certification, QAPI Certification; minimum two years’ experience in Long-Term Care with thorough knowledge of principles and practices of Long-Term Care, knowledge of State and Federal Regulations for Long-Term Care; must pass drug screens and have a satisfactory Criminal History Background Check

    Duties and Responsibilities:

    • Assists RN Supervisor and Resident’s Primary Nurse in the Admissions Process
    • On Admission and/or within next few days, explains to Resident and family what our goals for the Resident are; explains our routines and Care Guidelines to Resident and family
    • Follows up with Resident’s family during the first week, then weekly within next two weeks, keeping family informed; documents communication with family
    • Discusses new Resident with DON to determine acuity level (high-risk areas and quality of care issues); room assignments; determines prior to Admission Resident’s needs such as specialty bed etc.
    • Encourages Resident and family regarding Resident’s care as appropriate; invites family to Family Council Meetings and informs Residents of monthly Resident Council Meetings
    • Reviews medical records for acute situations such as, Medicare Part-A documentation, I /A’s and new orders
    • Reviews medical records for compliance with care plans and other paperwork within 24 hours of admission, excluding weekends and holidays
    • Reviews medical records of Residents with wounds at least weekly for measurements, weights, labs and any interventions needed, such as specialty beds, turning, repositioning
    • Reviews documentation of prevention interventions for Residents at high-risk for falls, skin breakdown, weight loss, dehydration, elopement and infections,; discusses changes with Physician, Resident and family
    • Reviews all medical records for documentation errors
    • Reviews medical records for documentation that supports the care plan, such as Resident’s non-compliance or behavior problems; documentation should not be derogatory or negative but should only State observations
    • Reviews medical records to ensure that care plan supports the acceptable standard of performance with the medical diagnosis made by the physician
    • Reviews medical records to ensure all Resident and family complaints are documented and investigated; follows up to ensure concerns are resolved and maintains availability to Resident and family
    • Attends Care Plan Conferences as requested
    • Provides in-services to families in specific areas of concern

    Excellent Benefits:

    Bedford Care Centers offer a comprehensive benefits package to our full time employees. It is our desire to demonstrate to our employees and their families that we value them through the offering of a benefits package that positively contributes to their quality of life. A summary of benefits offered includes:

    Paid Time Off (PTO) including:

    • Vacation pay
    • Paid sick leave

    Insurance benefits including:

    • Group Health insurance
    • Dental insurance
    • Vision Insurance

    Other Benefits:

    • Holiday Incentive Pay
    • Daily Pay – upon your request
    • Direct deposit
    • Bereavement leave
    • Retirement Savings Plan/401K
    • Employee Assistance Program
    • Family Medical Leave

    IF CONTACTED, YOU WILL BE REQUESTED TO COMPLETE A MORE THOROUGH APPLICATION AT THE FACILITY.

    Job Type: Full-time

    Salary: 30.00 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Paid time off
    • Referral program
    • Vision insurance

    Job Type: Full-time

    Pay: From $30.00 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Paid time off
    • Referral program
    • Vision insurance

    Application Question(s):

    • Federal Bureau of Investigation databases in order to complete state and national background checks. Are you willing to submit to required criminal history background checks?

    Experience:

    • Nursing: 1 year (Preferred)
    • Case management: 1 year (Preferred)

    License/Certification:

    • RN (Required)

    Work Location: In person

  • 1 Day Ago

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Insurance Coordinator
  • Fresenius Medical Care
  • Jackson, MS FULL_TIME
  • PURPOSE AND SCOPE:Explores, recommends, and coordinates insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while providing our p...
  • 10 Days Ago

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Resource coordinator
  • Agape Care Group
  • Jackson, MS FULL_TIME
  • Overview : Join Our Team as a Spiritual Care Coordinator Are you passionate about making a difference in the lives of others? Do you want to make a meaningful impact and help create positive experienc...
  • 15 Days Ago

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RN MDS Coordinator
  • Consulate Health Care
  • Union, MS FULL_TIME
  • Join Hilltop Manor as a Full-Time RN MDS Coordinator and enjoy a fulfilling career where your expertise shapes the quality of care for our residents. This onsite position allows you to work closely wi...
  • 10 Days Ago

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Coordinator-Customer Service
  • Baptist Memorial Health Care
  • Byram, MS OTHER
  • SummaryPromotes a high level of customer satisfaction during patient interactions, requiring knowledge of departmental and corporate policies and procedures. Maintains accurate and timely billing info...
  • 11 Days Ago

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Customer Service Coordinator Lead
  • Baptist Memorial Health Care
  • Madison, MS OTHER
  • SummaryPromotes a high level of customer satisfaction during patient interactions, requiring knowledge of departmental and corporate policies and procedures. Maintains accurate and timely billing info...
  • 16 Days Ago

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0 Managed Care Coordinator jobs found in Jackson, MS area

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RN-Care Coordinator-Pediatric Pulmonary
  • University of Mississippi Medical Center
  • Jackson, MS
  • Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please rev...
  • 12/14/2024 12:00:00 AM

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Manager, Quality Assurance - All Suites
  • Hilton
  • Jackson, MS
  • _***This is a remote position with a preferred candidate located in the Northeast (NY, NJ, PA, CT, or MA)***_ This is yo...
  • 12/14/2024 12:00:00 AM

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Behavioral Health Counselor
  • Pathway Healthcare
  • Jackson, MS
  • Job Description Job Description Position Role: As a Behavioral Health Counselor, you will be a vital member of our team,...
  • 12/14/2024 12:00:00 AM

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Travel Nurse RN - Case Management - $2,366 per week
  • Talent4Health
  • Jackson, MS
  • Talent4Health is seeking a travel nurse RN Case Management for a travel nursing job in Jackson, Mississippi. Job Descrip...
  • 12/14/2024 12:00:00 AM

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Individualized Care Coordinator
  • Cardinal Health
  • Jackson, MS
  • **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical ...
  • 12/13/2024 12:00:00 AM

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UM Administration Coordinator (South Central Region)
  • MSCCN
  • Jackson, MS
  • Become a part of our caring community and help us put health first The UM Administration Coordinator 2 contributes to ad...
  • 12/13/2024 12:00:00 AM

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Direct Support Professional
  • Sevita
  • Jackson, MS
  • REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual...
  • 12/12/2024 12:00:00 AM

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Caregiver
  • Sevita
  • Brandon, MS
  • REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual...
  • 12/12/2024 12:00:00 AM

Jackson is located primarily in northeastern Hinds County, with small portions in Madison and Rankin counties. The Pearl River forms most of the eastern border of the city. A small portion of the city containing Tougaloo College lies in Madison County, bounded on the west by Interstate 220 and on the east by U.S. Route 51 and Interstate 55. An unconnected section of the city surrounds Jackson–Evers International Airport in Rankin County. In the 2010 census, only 622 of the city's residents lived in Madison County, and only 1 lived within the city limits in Rankin County. The city is bordered t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$44,491 to $76,356
Jackson, Mississippi area prices
were up 1.2% from a year ago

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